Organization
VALLEY VIEW PHYSICIAN PRACTICES LLC
Active
Other names
Valley View General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE E LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
5300 S HIGHWAY 95, SUITE C, FORT MOHAVE, AZ 86426-9251
(928) 768-2330
(928) 768-2360
Mailing address
5300 S HIGHWAY 95, SUITE C, FORT MOHAVE, AZ 86426-9251
(928) 768-2330
(928) 768-2360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603239
TRADE NAME ID
AZ
Enumeration date
08/26/2014
Last updated
01/12/2025
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